Active NPI
Robert E Waldchen, P.T.
- Orthopedic Physical Therapist
- Bozeman, MT
National Provider Identifier
1235289133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 2208MT
- Practice address
- 1707 Oak St
D
Bozeman, MT 59715-2125 - Phone
- (406) 587-8446
- Fax
- (406) 587-0898
- NPI assigned
- Jan 11, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 2208MT | MT | Primary |
| Geriatric Physical Therapist | 2251G0304X | 2208MT | MT |
Addresses
Primary practice location
1707 Oak St
D
Bozeman, MT 59715-2125
Mailing address
1707 Oak St
D
Bozeman, MT 59715-2125
Phone (406) 587-8446
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 222878657 | Other | NJ | EMPLOYER IDENTIFICATION # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2208MT | MT | MD | Geriatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Covell Care and Rehabilitation, LLC | Geriatrics | Current | Accepting new patients |
| Aumann Chiropractic PS Inc | Past | Accepting new patients | |
| Absaroka Pain and Rehab | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
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- Bozeman, MT
- NPI 1992822084
-
- Chiropractor
- Bozeman, MT
- NPI 1447375597
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1241136000000",
"number": "1235289133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1707 OAK ST",
"address_2": "D",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597152125",
"telephone_number": "406-587-8446",
"fax_number": "406-587-0898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1707 OAK ST",
"address_2": "D",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597152125",
"telephone_number": "406-587-8446",
"fax_number": "406-587-0898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALDCHEN",
"first_name": "ROBERT",
"middle_name": "E",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-11",
"last_updated": "2009-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "MT",
"license": "2208MT",
"primary": true
},
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "MT",
"license": "2208MT",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPLOYER IDENTIFICATION #",
"identifier": "222878657",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bozeman, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.